Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.59 / $1,052.96 / $1,961.77	Professional		$796.59	$1,052.96	$1,961.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.38 / $1,110.38 / $1,113.50	Facility		$1,110.38	$1,110.38	$1,113.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.95 / $1,190.79 / $1,414.06	Professional		$739.95	$1,190.79	$1,414.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $751.37 / $1,168.29 / $2,256.04	Facility		$751.37	$1,168.29	$2,256.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.20 / $1,480.82 / $1,905.06	Professional		$1,396.20	$1,480.82	$1,905.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,143.06 / $1,438.05	Professional		$32.34	$1,143.06	$1,438.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $4,867.04 / $5,994.73	Facility		$3,403.52	$4,867.04	$5,994.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,472.40 / $1,732.23 / $1,905.06	Professional		$1,472.40	$1,732.23	$1,905.06
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,450.00 / $7,609.00	Facility		$675.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.13 / $1,040.85 / $1,610.67	Professional		$653.13	$1,040.85	$1,610.67